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29 Cards in this Set
- Front
- Back
Postpartum- FULL SERVICE CARE
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F-Follow up
U- Uterus L- Lochia L- Legs S- Sustenance E- Elimination R- Rest V- Vaginal Area I- Intervention C- Contraception E- Education C- Caring A- Attachment R- Relationship E- Emotional Status |
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Postpartum Care Vaginal Delivery
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Vital Signs
Fundus Checks Lochia Checks Episitomy/Perineal Care Bonding/BreastFeeding Rest Nutrition |
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Postpartum Care Cesarean Delivery
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Vital Signs
Oxygen Status I & O Incision and Dressing- sterristrips Fundus & Lochia Checks Assess Post- Anesthesia State |
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Postpartum Physiologic Changes
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Vital Signs
Temperature increased first 24 hours. up to 100.4 Pulse decreased, Could get tachy not good. Blood pressure pre-birth levels, usually by 4th postpartum day. Watch orthostatic by hypertension. |
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Postpartum Breast
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1st-2nd day Colostrum
3rd-4th day filling milk forms with milk ducts .4th day breast may become engorged. Breast Feed Frozen cabage help in lactation. Breast binder Ice pack, Analgesics. |
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Uterus Involution
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Reduction of uterus
The return of the uterus to nonpregnant state following birth. |
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Uterus >Birth
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Between symphisis pubis and umbilicus
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Uterus 1HR>Birth
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Rises to umbilicus (24 hours)
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Uterus 24Hrs>Birth
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Decreases 1-2 FB per day
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Lochia
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Postchildbirth uterine discharge.
Uterine Flow consisting of blood/decidua/WBC/Bacteria Placenta |
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Lochia is measured according to amount
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Rubra= 1-3 days
Serosa= 4-10 days Alba= 10-3 weeks Not saturationg pad Fundal massage |
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Rubra
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1-3 days
Red, lot of blood all in pad, take care 3-4 hours everytime take care of baby, take care of self. Pad dry, change Pad |
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Serosa
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4-10 days
Pink |
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Alba
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10 days-3 weeks up to 6 weeks
Alba- Yellowish to white |
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Perineum
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Tissue swelling/Tender/Eccymosis
Kegel Exercises Perineal Care Labia Majora(Trauma of birth)/Minora- Remain Atrophied/Soft Sitz bath-UTI or Prone to UTI dont do. It Helps with circulation. Sutures-Ice, edema present give some ice. |
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Gastrointestinal System
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Hemorrhoids
Due to relaxin bowels may be sluggish |
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Nursing Consideration to prevent/treat Constipation
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Ambulate
Drink Fluids Apple Juice- Sorbital Contains- laxative properties Fruits/vegetables/whole grains/breads Stool softners Suppository |
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Genitourinary System
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Immediate>Postpartum= Trace Proteinuria
Diuresis=Begins 12 hrs> Delievery-1 week Diuresis is result of: Decrease Aldostererone Production Decrease Sodium Retention 5lb weight loss |
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Integumentary System
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Striae
Appear reddened/more prominent Will Fade into pale white or darker pigmentation, not disappear. Linea Negra/Chloasma- Line from to syphisis pubis will disappear. |
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Emotional status- According to Reva Rubin Maternal Adaption
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Day 1- Taking in Phase- Can last 2-3 days
Day 2- Taking Hold Phase- can do self Letting go phase |
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Maternal role attainment
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According to Ramona Mercer this is how monther learns behaviors
Anticiptory Stage Formal Stage Informal Stage Personal Stage |
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Anticipatory Stage
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Mother gong to model somebody
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Formal Stage
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Mom acts like other epeople ask her to last 6-8 weeks
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Informal Stage
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Mom develops own way
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Personal Stage
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Comfortable Self as mom by 4 months
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Engrossment
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Father's absorption/pre-occupation/interest in infant
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Postpartum blues
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(1day-2weeks) 75%-80% Normal temporary usually pass 2 weeks after delivery
Feeling "Emontional Liability" Cry and do not understand why? Difficulty concentrating/irritable/tearful/anxious/fatgued/sleep disturbance |
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Postpartum Assessment
Bubble HHE |
Breast-size-Engorged, nipples cracked lactating.
Uterus-Fundle height check Bladder-Empty Bowel-Ascuiltate, gone to bathroom, stool softener. Lochia Episiotomyu-Asses site, pressnce of lacation, encourage perineal care Hemorrhoids-Check site for hemmorrhoids Homan's sign- Postpartum clots Education-breast feeding, baby care |
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Breastfeeding
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1st 6 months of life
Protein Eminoglobulins Once placenta is delivered no longer inhibit fsa, ovulation contious. If mom is not breast feeding begin 6-10 weeks. If she is menstrating beings 3-4 months or longer. If HIV postitive, no breast feeding. |